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"W <br />GENERAL INFORMATION: <br />1. Obtain an EPA Site Number from the Department of Health Services (916) 324-1781 for temporary <br />11117ardoa5 waste removal activities associated with underground storage tank (UST) removals. <br />2. Disposal Information: Public Hcalth Services Tracking Sheet shall accompany each tank removed <br />front site. Tank(%) will be issued an Identification number which PHS-FID's representative will note <br />on the Tank Tracking Sheet. Contractor will affix same identification number onto tank end using <br />fluorescent spray painl. Contaminated tanks and/or piping are to be transported under Hazardous <br />Waste Manifest by a state registered hazardous waste hauler. <br />3. Contractor to Provide: Combuslible/Flamntable gas detector (to verify the Lower Explosive Limit <br />(LFL) atmosphere mad oxygen level of lank prior to lifting from excavation), adequate number(s) and <br />appropriate types) of fare extinguisher(s), barriers to secure the area as necessary to minimize traffic <br />and pedestrian Interference, and fluorescent spray paint to affix tank identification numbers. It shall <br />be the project manager's responsibility for compliance with all health do safely regulations and <br />requirements, which shall be silicify adhered to at all times during the course of the closure activities. <br />4 The PIIS-FIID permit shall be on site during tank excavation and removal. <br />5. Any changes in this document shall be approved by PHS-EIID prior to initiating work. <br />6. Clnsure-Illflnce: If Closure -ba -Place is the suggested method of abandonment, complete form <br />EI 123 039 and submit written approval from the local Fire Department. <br />7. Temporary closure: If Temporary Closure is the suggested method of abandonment, complete <br />form Elf 23 046 and submit written approval from the local Fire Department. <br />8. Tire following docunientnlion shall be submitted within 30 days of the tank reinovril <br />(]rile: <br />a) Analytical results, mailed directly from laboratory to PHS-EHD, including a chain of custody. <br />b) Tank Tracking Record Sheel(s) and/or Tank Hazardous Waste Manifest(s). <br />c) Hazardous Waste Manifests for piping, rinsate, residual fuel, or waste oil receipt. <br />d) Submit the backfill excavation certificate as required by San Joaquin County and the <br />Incorporated City Building Departments. This report will be referred to the appropriate <br />agency for their review. <br />A site which fins had IISI'(s) removed, shall nal Ire considered for final closure until lire above Items <br />lire submitted for review. <br />Eli 23 040 (Revised 7-10-92) Page 2 <br />